Nezafat Maldonado Behrouz M, Collins Jennifer, Blundell Harriet J, Singh Lucy
School of Public Health, Imperial College London, London, UK.
UK-Med, Manchester, UK.
J Migr Health. 2020;1:100004. doi: 10.1016/j.jmh.2020.100004. Epub 2020 Nov 13.
The World Health Organization recommends national risk communications tools targeting migrant communities to contain the spread of COVID-19. Within Europe, migrants are often left behind in healthcare due to structural barriers driven by hostile environment measures. This study aimed to assess inclusion of migrants in COVID-19 prevention measures by evaluating if governmental risk communications are available in common migrant languages across Europe.
A rapid review was performed in June 2020 to understand the availability of government produced risk communications across Council of Europe member states, namely: COVID-19 health communications, migrant-specific guidelines and COVID-19 helplines.
96% (45/47) of countries sampled had online government COVID-19 advice. 30% (15/47) issued information in their official language(s), whilst 64% (30/47) of countries delivered information in additional languages. 48% (23/47) translated information into at least one migrant language. However, information on testing or healthcare entitlements in common migrant languages was only found in 6% (3/47). Half (53%; 25/47) of the countries with COVID-19 helpline offered information in at least one alternative language.No government produced risk communications on disease prevention targeting people in refugee camps or informal settlements.
There are clear gaps in the availability of translated COVID-19 risk communications across Europe, excluding migrants from the COVID-19 response. Governments must reflect on the inclusion of migrants within their COVID-19 response and seek to engage vulnerable communities. Governments should urgently partner with non-governmental organizations who already play a key role in addressing unmet health needs.
世界卫生组织建议针对移民社区的国家风险沟通工具，以遏制新冠病毒病的传播。在欧洲，由于敌对环境措施导致的结构性障碍，移民在医疗保健方面常常被忽视。本研究旨在通过评估欧洲各国政府的风险沟通是否以常见的移民语言提供，来评估移民在新冠病毒病预防措施中的纳入情况。
2020年6月进行了快速审查，以了解欧洲理事会成员国政府发布的风险沟通的可获取情况，即：新冠病毒病健康沟通、针对移民的指南以及新冠病毒病求助热线。
抽样的国家中有96%（45/47）提供了政府在线新冠病毒病建议。30%（15/47）的国家以其官方语言发布信息，而64%（30/47）的国家以其他语言提供信息。48%（23/47）的国家将信息翻译成了至少一种移民语言。然而，仅在6%（3/47）的国家中发现了以常见移民语言提供的关于检测或医疗保健权益的信息。设有新冠病毒病求助热线的国家中有一半（53%；25/47）至少以一种其他语言提供信息。没有政府针对难民营或非正式定居点的人群发布关于疾病预防的风险沟通。
欧洲在提供翻译后的新冠病毒病风险沟通方面存在明显差距，将移民排除在新冠病毒病应对措施之外。各国政府必须反思在新冠病毒病应对中对移民的纳入情况，并寻求让弱势群体参与进来。政府应紧急与在满足未得到满足的健康需求方面已经发挥关键作用的非政府组织合作。
